With this 21st edition of TheTrocar we continue to build on a journey that began in 1998, and since 2020 has evolved into an open-access platform under the umbrella of the International Society for Gynecological Endoscopy (ISGE). We are proud to present a rich and diverse issue, which comprises 15 contributions — a balanced mix of original research, reviews, expert recommendations, case reports and video-articles — reflecting the growing demand and engagement from our global community.

In this edition you will find two original papers that advance our scientific understanding, two reviews that appraise current evidence or evolving techniques, and two expert recommendations or opinion pieces that share insights and guidance drawn from clinical experience. Beyond that, four compelling case reports provide detailed reflections of unique clinical scenarios — often the kind of practical knowledge that proves invaluable especially in low-resource or uncommon settings. Finally, five video-articles — a format increasingly appreciated for its didactic value — complement our traditional written content.

This expansion of content underscores not only TheTrocar’s growth in numbers, but also its maturation as a truly global exchange platform. From centers with state-of-the-art equipment to colleagues working under resource constraints, from young researchers seeking their first publication to seasoned experts offering their experience TheTrocar brings all voices together. This inclusivity lies at the heart of ISGE’s mission: to make minimal-invasive gynecologic surgery accessible worldwide, and to share knowledge across continents.

Importantly, the mixed format of this issue – combining original research with reviews, opinions, clinical case reports and videos – mirrors the real-world landscape of gynecological endoscopy: a field where innovation, clinical acumen, shared experience and open dialogue all matter. By embracing this variety, we encourage contributions not only from those who conduct large prospective trials, but also from practitioners whose strength lies in ingenuity, in adapting established techniques to emerging needs, or in reporting rare but instructive cases. The enthusiastic response to our call for submissions, and the increasing volume and diversity of contributions, encourages and motivates us – the publisher, the editorial board, the reviewers – to keep working toward a journal that serves as a platform for the global community. We remain committed to open access, affordable or free publication for ISGE members, and a peer-review process that respects both scientific rigor and inclusiveness.

We invite you, our readers and contributors, to immerse yourselves in this issue. Let the clinical observations, the surgical techniques, the evidence summaries and expert reflections inspire you – and perhaps welcome you to contribute your own experience in future editions. Only through global collaboration and exchange can we continue to advance gynecological endoscopy for the benefit of patients everywhere.

Good health and progress
For the Editorial Board

Guenter Noé

Editor in chief